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Altered plasma creatine phosphokinase activity in vincristine-treated rats
745
Short communications 6. R. F. Furchgott and S. Bhadrakam, J. Phurrnnc. t’sp. 7-/w. 108, 129 (1953). 7. G. Krishna. B. Weiss and B. B. Brodie. .I. Pharr~zac. esp. Thrlr. 163, 379 (1968). 8. L. Triner, Y. Vulliemor. I. Schwartz and G. G. Nahas. Biochern. hioph,rs. Rrs. Curn,nun. 40, 64 (1970). 9. A. G. Gilman. Proc. mtn. .4cud. Sci. U.S..4. 67, 305 (1970).
B~ochcmcal
Pharmacology.
Vol
‘4. pp 745 746. Pergamon
Pm,.
lY75 PrInted
10. 0. H. Lowry. N. J. Rosebrough, A. L. Farr and R. J. Randall. J. bid. Chm. 193, 265 (1951). Il. M. S. Amer. Fifih Int. Congr. Pharmac., Ahstructs of liofunteer Papers (Bethesda, Md.: American Society for Pharmacology and Experimental Therapeutics), p. 6 (1972). I?. B. Weiss and E. Costa. J. Pharnlac. r-up. 7hrr. 161, 310 (1968). 13. S. Spector. J. H. Fleisch. M. M. Maling and B. 9. Brodie. Scioice, N.Y. 166. 1300 (1969).
11,Great Britain
Altered plasma creatine phosphokinase (Rucriwd
activity in vincristine-treated
9 July 1974; uccrpted
A side effect of vincristine. when used for treatment of a varicty of human malignancies. is the development of muscle lesions which are secondary to nerve damage [I]. In rodents the myopathic features appear to be more severe [2]. so that administration of vincristine to rats may bc used to study the relationships between morphological and biochemical changes during the development of primary muscle lesions. A previous study revealed biochemical changes in vincristine myopathy similar to those reported for several naturally occurring hereditary myopathies [3], A prominent featurc of some of these myopathies is a raised creatine phosphokinase activity (CPK: EC 2.7.3.27) in the blood. Conscquently. we have measured plasma CPK activity (PCPK) in rats at various intervals following a single i.p. dose of vincristine at 0.6 mg:kg body wt. Male Wistar rats (Carworth (Europe) Ltd.) weighing initially 275-310 g were injected with vincristine sulphate (Oncovin@. Eli Lilly) at a single i.p. dose of 0.6 mg/kg body wt. Control rats were given an equivalent volume of diluent (supplied by Eli Lilly to dilute vincristine) containing 0.9”; NaCl and 0.9”, benryl chloride as a preservative. Although the vincristine treated animals were provided with Oxoid pellets and water ad lib. they lost weight during the course of the experiment. with mean losses as follows-Day I : I2 g, Day2:20g.Day3:25g,Day4:33gandDay5:32g. Blood was withdrawn at I. 2, 3.4 and 5 days after the vincristine injection from the heart under ether anaesthesia into a heparinized syringe and vials. The plasma was separated from the cells within I hr and stored at -20’ for a maximum of 2 weeks prior to analysis. PCPK activity IS stable under these conditions for at least 2 weeks 143. Different rats were used for each time interval. and the complete experiment was repeated on 3 groups of control and 3 groups of treated animals except for the 5&y sample where 2 different groups of each were used. All injections and blood sampling were performed between IO and 12 a.m. PCPK was determined by the method of Worthy rf trl. [iJ except that the recommended p-chloromercurlbenroate concentration was doubled, since we found that colour formation was erratic at the concentration recommended by these authors. The activity was calculated as international units/l. plasma. Several workers have reported a non-linear activation of CPK activity with dilution [S. 61. To minimize errors due to this dilution effect. all plasmas were diluted I : 5 with water prior to analysis. Although this would result in higher values for plasmas from the controls and an underestimation of the enzyme in plasmas with activity above the linear
17 October
rats
1974)
0-
x
0-
xx
x o-
x
x
x
2x x a-
DAYS
AFTER
TREATMENT
FIN. I. Distribution of PCPK activities in control (0) and treated (x) rats following a single i.p. dose of vmcristine at 0.6 mg,/kg. body wt.
range of the method, we did this in an attempt to standardize comparisons between high and low values of PCPK activity. The Mann-Whitney U-test [7] was used for the statistical comparison of the results obtained 2 and 3 days following treatment. Because of the small number of control samples at the 2-day period. the control values from both these times were combmed for this test. To investigate possible changes in PCPK activity associated with weight loss, 20 control rats were fed a restricted diet so that their body wt at the time of blood sampling was similar to the treated animals, while 9 were fed ad lib. No significant difference in PCPK activity was observed between the two groups. the values obtained being 185 + 100 I.lJ/I. and 137 _t 72 I.Ujl. respectively (P > 0.2, Student’s t-test). Results are shown in Fig. I. PCPK activities levels were significantly higher than control values at 2 days (0,025 > P > @Ol) and 3 days (0.01 > P > 0,001). At both
746
Short communications
these intervals activity was increased in only 50 per dent of the animals. Several factors could contribute to this, e.g. (a) transient release of CPK from damaged muscle which is rapidly cleared from the plasma. (b) variable time responses in different animals. (c) defective absorption of drug from the peritoneal cavity. The temporal development of PCPK changes in this study are similar to those of the muscle pathology as muscle necrosis is first observed 2 days after treatment [Xl. Although. histologically only a few fibres showed changes, the release of CPK is sutficient to measurably increase the level in the plasma. The mechanism of vincristine myopathy is at present unknown, but because of the short time interval involved, the results suggest a myogenic rather than a neurogenic lesion. Findings supporting this view are the unchanged levels of PCPK up to two weeks in rats after peroneal or sciatic nerve section [Y], where muscle atrophy is a continuous process, and also following a subcutaneous injection of the neuromuscular blocking agents d-tubocurarine and succinylcholine [IO].
Ack,lor~,lrd~lrrnrrlt~The work was supported lar Dystrophy Group of Great Britain.
by the Muscu-
Muscular DystrophJ Reseurch Laharutor):
Rest. YASrN JLILIANNEA.PARK~R
lrntitute of’Ncuroloqy, The Nationd Ho&al.
Londm WCIN Eq&rid
3BG.
REFERERCM I. J. Hildebrand and C. Coers, Eur. J. Cmcer 1, 51 (1965). 2. W. G. Bradley, J. Neuroi. Sci. 10, 133 ( 1970). 3. R. Yasin, B. P. Hughes and J. A. Parker, Luh. Iwrst. 29, 207 (1973). 4. S. B. Rosalki, J. Lab. cliu. Mrd. 69, 696 (1967). 5. W. E. Worthy. P. Whitehead and D. M. Goldberg, En;L’n1. hiol. c,lin. 11, 193 ( 1970). 6. F. A. Craig, J. C. Smith and F. F. Foldes. Chicu. chirn. Acta 15, 107 (1967). 7. S. Segal, in .Vm-Ptrrunwtric Statistics: For t/w Brhuciourul Scirrms, p. 116. McGraw-Hill. New York (1956). 8. R. Yasin and B. P. Hughes, manuscript in preparation. 9. H. Y. Meltzer, Esp. .Veurol. 40, 547 (1973). 10. H. Y. Mcltzer and P. Margulies, B&he/n. Phrwzuc. 20, 3501 (1971).
BmchemxalPharmacolog). Vol 21.pp 74.6 717 PrrgamonPress. 1975. PrInted m GreatBr~tam
Diabetogenic
activity of deoxy-2-[ [ (ethylnitrosoamino) D-glucopyranose (Recriced
15 July 1974; accepted 6 Srptewher
The diabetogenic agent streptozotocin. is composed of the cytotoxic moiety I-methyl-1-nitrosourea attached to the carbon-2 position of glucose. In addition to producing a permanent diabetic state in animals. mediated through the specific destruction of the pancreatic beta cell [I], this compound has demonstrable clinical activity against human islet cell carcinomas [Z]. The diabetogenic activity of strepto7otocin has been correlated with an inhibition of nicotinamide adenine dinucleotide (NAD) synthesis in the pancreatic islets of Langerhans [3,4] with subsequent beta cell necNO rosis. While all compounds having an R-N-(CH,),_2H end group have been demonstrated to depress hepatic NAD concentrations, only streptozotocin has been shown to be diabetogenic [S]. To explore further these structure--activity relationships and the importance of the glucose carrier for
carbonyl]amino]-
1974)
diabetogenicity. the pharmacologic properties of dcoxy-2[[(ethylnitrosoamino)carbonyl]amino]-~~-glucopyranose (DENU; Upjohn U-30,964, NSC-174793) [6], a glucosecontaining nitrosourea. identical in structure to streptozototin except for the presence of an ethyl end group. were studied. Male Swiss mice weighing 17-26 g and maintained on Purina laboratory chow pellets and water ud lib. were used for all studies. DENU was dissolved in 0.005 M citrate buffer, pH 4.5, immediately prior to use; each dose was administered intravenously at a volume of @1 ml/IO g of body weight. Animals were fasted for IX hr prior to drug administration. Control animals received equal volumes of the citrate buffer diluent. Five days after drug administration. mice were sacrificed and plasma glucose [7] and immunoreactive insulin concentrations [S] were determined on blood obtained by car-
Table 1. Mean plasma glucose and immunoreactive insulin concentration 5 days after treatment with intravenous DENU administered at doses of 500-2500 mg/kg in Swiss mice Dose (mdkg) Control 500
IO00 1500 2500
Plasma glucose* (mg/lOO ml) 12X I32 181 174 276
* Mean value for five mice. to control.
t Compared
Plasma
pt
insulin*
W/ml)
Pf
X6 >O,I < 0.05 <0,05
21
Short communications 6. R. F. Furchgott and S. Bhadrakam, J. Phurrnnc. t’sp. 7-/w. 108, 129 (1953). 7. G. Krishna. B. Weiss and B. B. Brodie. .I. Pharr~zac. esp. Thrlr. 163, 379 (1968). 8. L. Triner, Y. Vulliemor. I. Schwartz and G. G. Nahas. Biochern. hioph,rs. Rrs. Curn,nun. 40, 64 (1970). 9. A. G. Gilman. Proc. mtn. .4cud. Sci. U.S..4. 67, 305 (1970).
B~ochcmcal
Pharmacology.
Vol
‘4. pp 745 746. Pergamon
Pm,.
lY75 PrInted
10. 0. H. Lowry. N. J. Rosebrough, A. L. Farr and R. J. Randall. J. bid. Chm. 193, 265 (1951). Il. M. S. Amer. Fifih Int. Congr. Pharmac., Ahstructs of liofunteer Papers (Bethesda, Md.: American Society for Pharmacology and Experimental Therapeutics), p. 6 (1972). I?. B. Weiss and E. Costa. J. Pharnlac. r-up. 7hrr. 161, 310 (1968). 13. S. Spector. J. H. Fleisch. M. M. Maling and B. 9. Brodie. Scioice, N.Y. 166. 1300 (1969).
11,Great Britain
Altered plasma creatine phosphokinase (Rucriwd
activity in vincristine-treated
9 July 1974; uccrpted
A side effect of vincristine. when used for treatment of a varicty of human malignancies. is the development of muscle lesions which are secondary to nerve damage [I]. In rodents the myopathic features appear to be more severe [2]. so that administration of vincristine to rats may bc used to study the relationships between morphological and biochemical changes during the development of primary muscle lesions. A previous study revealed biochemical changes in vincristine myopathy similar to those reported for several naturally occurring hereditary myopathies [3], A prominent featurc of some of these myopathies is a raised creatine phosphokinase activity (CPK: EC 2.7.3.27) in the blood. Conscquently. we have measured plasma CPK activity (PCPK) in rats at various intervals following a single i.p. dose of vincristine at 0.6 mg:kg body wt. Male Wistar rats (Carworth (Europe) Ltd.) weighing initially 275-310 g were injected with vincristine sulphate (Oncovin@. Eli Lilly) at a single i.p. dose of 0.6 mg/kg body wt. Control rats were given an equivalent volume of diluent (supplied by Eli Lilly to dilute vincristine) containing 0.9”; NaCl and 0.9”, benryl chloride as a preservative. Although the vincristine treated animals were provided with Oxoid pellets and water ad lib. they lost weight during the course of the experiment. with mean losses as follows-Day I : I2 g, Day2:20g.Day3:25g,Day4:33gandDay5:32g. Blood was withdrawn at I. 2, 3.4 and 5 days after the vincristine injection from the heart under ether anaesthesia into a heparinized syringe and vials. The plasma was separated from the cells within I hr and stored at -20’ for a maximum of 2 weeks prior to analysis. PCPK activity IS stable under these conditions for at least 2 weeks 143. Different rats were used for each time interval. and the complete experiment was repeated on 3 groups of control and 3 groups of treated animals except for the 5&y sample where 2 different groups of each were used. All injections and blood sampling were performed between IO and 12 a.m. PCPK was determined by the method of Worthy rf trl. [iJ except that the recommended p-chloromercurlbenroate concentration was doubled, since we found that colour formation was erratic at the concentration recommended by these authors. The activity was calculated as international units/l. plasma. Several workers have reported a non-linear activation of CPK activity with dilution [S. 61. To minimize errors due to this dilution effect. all plasmas were diluted I : 5 with water prior to analysis. Although this would result in higher values for plasmas from the controls and an underestimation of the enzyme in plasmas with activity above the linear
17 October
rats
1974)
0-
x
0-
xx
x o-
x
x
x
2x x a-
DAYS
AFTER
TREATMENT
FIN. I. Distribution of PCPK activities in control (0) and treated (x) rats following a single i.p. dose of vmcristine at 0.6 mg,/kg. body wt.
range of the method, we did this in an attempt to standardize comparisons between high and low values of PCPK activity. The Mann-Whitney U-test [7] was used for the statistical comparison of the results obtained 2 and 3 days following treatment. Because of the small number of control samples at the 2-day period. the control values from both these times were combmed for this test. To investigate possible changes in PCPK activity associated with weight loss, 20 control rats were fed a restricted diet so that their body wt at the time of blood sampling was similar to the treated animals, while 9 were fed ad lib. No significant difference in PCPK activity was observed between the two groups. the values obtained being 185 + 100 I.lJ/I. and 137 _t 72 I.Ujl. respectively (P > 0.2, Student’s t-test). Results are shown in Fig. I. PCPK activities levels were significantly higher than control values at 2 days (0,025 > P > @Ol) and 3 days (0.01 > P > 0,001). At both
746
Short communications
these intervals activity was increased in only 50 per dent of the animals. Several factors could contribute to this, e.g. (a) transient release of CPK from damaged muscle which is rapidly cleared from the plasma. (b) variable time responses in different animals. (c) defective absorption of drug from the peritoneal cavity. The temporal development of PCPK changes in this study are similar to those of the muscle pathology as muscle necrosis is first observed 2 days after treatment [Xl. Although. histologically only a few fibres showed changes, the release of CPK is sutficient to measurably increase the level in the plasma. The mechanism of vincristine myopathy is at present unknown, but because of the short time interval involved, the results suggest a myogenic rather than a neurogenic lesion. Findings supporting this view are the unchanged levels of PCPK up to two weeks in rats after peroneal or sciatic nerve section [Y], where muscle atrophy is a continuous process, and also following a subcutaneous injection of the neuromuscular blocking agents d-tubocurarine and succinylcholine [IO].
Ack,lor~,lrd~lrrnrrlt~The work was supported lar Dystrophy Group of Great Britain.
by the Muscu-
Muscular DystrophJ Reseurch Laharutor):
Rest. YASrN JLILIANNEA.PARK~R
lrntitute of’Ncuroloqy, The Nationd Ho&al.
Londm WCIN Eq&rid
3BG.
REFERERCM I. J. Hildebrand and C. Coers, Eur. J. Cmcer 1, 51 (1965). 2. W. G. Bradley, J. Neuroi. Sci. 10, 133 ( 1970). 3. R. Yasin, B. P. Hughes and J. A. Parker, Luh. Iwrst. 29, 207 (1973). 4. S. B. Rosalki, J. Lab. cliu. Mrd. 69, 696 (1967). 5. W. E. Worthy. P. Whitehead and D. M. Goldberg, En;L’n1. hiol. c,lin. 11, 193 ( 1970). 6. F. A. Craig, J. C. Smith and F. F. Foldes. Chicu. chirn. Acta 15, 107 (1967). 7. S. Segal, in .Vm-Ptrrunwtric Statistics: For t/w Brhuciourul Scirrms, p. 116. McGraw-Hill. New York (1956). 8. R. Yasin and B. P. Hughes, manuscript in preparation. 9. H. Y. Meltzer, Esp. .Veurol. 40, 547 (1973). 10. H. Y. Mcltzer and P. Margulies, B&he/n. Phrwzuc. 20, 3501 (1971).
BmchemxalPharmacolog). Vol 21.pp 74.6 717 PrrgamonPress. 1975. PrInted m GreatBr~tam
Diabetogenic
activity of deoxy-2-[ [ (ethylnitrosoamino) D-glucopyranose (Recriced
15 July 1974; accepted 6 Srptewher
The diabetogenic agent streptozotocin. is composed of the cytotoxic moiety I-methyl-1-nitrosourea attached to the carbon-2 position of glucose. In addition to producing a permanent diabetic state in animals. mediated through the specific destruction of the pancreatic beta cell [I], this compound has demonstrable clinical activity against human islet cell carcinomas [Z]. The diabetogenic activity of strepto7otocin has been correlated with an inhibition of nicotinamide adenine dinucleotide (NAD) synthesis in the pancreatic islets of Langerhans [3,4] with subsequent beta cell necNO rosis. While all compounds having an R-N-(CH,),_2H end group have been demonstrated to depress hepatic NAD concentrations, only streptozotocin has been shown to be diabetogenic [S]. To explore further these structure--activity relationships and the importance of the glucose carrier for
carbonyl]amino]-
1974)
diabetogenicity. the pharmacologic properties of dcoxy-2[[(ethylnitrosoamino)carbonyl]amino]-~~-glucopyranose (DENU; Upjohn U-30,964, NSC-174793) [6], a glucosecontaining nitrosourea. identical in structure to streptozototin except for the presence of an ethyl end group. were studied. Male Swiss mice weighing 17-26 g and maintained on Purina laboratory chow pellets and water ud lib. were used for all studies. DENU was dissolved in 0.005 M citrate buffer, pH 4.5, immediately prior to use; each dose was administered intravenously at a volume of @1 ml/IO g of body weight. Animals were fasted for IX hr prior to drug administration. Control animals received equal volumes of the citrate buffer diluent. Five days after drug administration. mice were sacrificed and plasma glucose [7] and immunoreactive insulin concentrations [S] were determined on blood obtained by car-
Table 1. Mean plasma glucose and immunoreactive insulin concentration 5 days after treatment with intravenous DENU administered at doses of 500-2500 mg/kg in Swiss mice Dose (mdkg) Control 500
IO00 1500 2500
Plasma glucose* (mg/lOO ml) 12X I32 181 174 276
* Mean value for five mice. to control.
t Compared
Plasma
pt
insulin*
W/ml)
Pf
X6 >O,I < 0.05 <0,05
21